Primary polyarteritis nodosa presenting as acute symmetric quadriplegia.
Autor(es): Bosch X.; Navarro M.; Lopez-Soto A.; Grau J. M.; Martinez-Orozco F.
Resumo: We report a case of peripheral neuropathy presenting as acute symmetric areflexic quadriplegia in the setting of a well-defined clinical, histopathologic, and angiographic diagnosis of classic polyarteritis nodosa. While it is usually easy to recognize the typical clinical presentation of necrotizing angiopathy-induced peripheral neuropathy as a mononeuritis multiplex or a distal polyneuropathy in association with a collagen vascular disease, clinicians must be equally sensitive to a number of more challenging possibilities. Acute quadriplegia similar to that seen in Guillain-Barré syndrome can be secondary to primary classic polyarteritis nodosa and the former may be the chief or even the sole manifestation of the latter.
Imprenta: Clinical and Experimental Rheumatology, v. 17, n. 2, p. 232-234, 1999
Descritores: Guillain-Barre Syndrome - Cytopathology ; Guillain-Barre Syndrome - Pathogenesis
Data de publicação: 1999
